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Utah rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Facilitymedian $3 · 10th–90th $3–$160%50%90th$3Professionalmedian $9 · 10th–90th $3–$110%20%10th90th$9$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $8.91 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $16.22 / $16.98
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $31.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.22 / $17.38